标准化病人结合创伤模具在外科清创术培训中的应用研究

Application of standardized patients combined with trauma simulators in surgical debridement training

目的探讨标准化病人结合创伤模具教学在外科清创术培训中的应用效果。方法选取42名临床医学专业本科生,在临床技能模拟训练课程培训外科清创术过程中随机分为研究组(21人)和对照组(21人);研究组采用标准化病人结合创伤模具教学方法进行培训,对照组采用模拟教学进行培训;培训后进行考核及问卷调查,分别对医患沟通能力、人文关怀技巧、临床操作能力的提高帮助与否提高进行问卷调查。采用SPSS 20.0进行t检验和卡方检验。结果研究组清创操作成绩[(65.63±2.58)分vs.(62.92±3.88)分]、沟通交流成绩[(18.62±0.67)分vs.(12.71±1.89)分]和人文关怀成绩[(8.52±0.51)分vs.(6.33±1.11)分]均高于对照组(P<0.05)。问卷调查结果显示医学生对标准化病人结合创伤模具教学方法更加满意,认为其可以增强医患沟通能力、提升人文关怀技巧、提高临床实践操作水平(P<0.05)。结论采用标准化病人结合创伤模具的教学方法可增强培训效果,值得推广。

Objective To explore the effects of teaching with standardized patients and trauma simulators in surgical debridement training.Methods Forty-two undergraduate medical students were randomly divided into research group(n=21)and control group(n=21)during surgical debridement training in clinical skills simulation training courses.The research group received training using standardized patients combined with trauma simulators,while the control group received training using the simulated teaching method.After training,an examination test and a questionnaire survey were conducted to investigate whether the teaching method under study improved students'doctor-patient communication skills,humanistic care skills,and clinical operational skills.SPSS 20.0 was used to perform the t test and chi-square test.Results The research group had significantly higher scores in debridement procedures[(65.63±2.58)vs.(62.92±3.88)],communication[(18.62±0.67)vs.(12.71±1.89)],and humanistic care[(8.52±0.51)vs.(6.33±1.11)]than the control group(all P<0.05).The survey results showed that medical students were more satisfied with the teaching method with standardized patients and trauma simulators,believing that it could improve doctor-patient communication skills,humanistic care skills,and clinical practice levels(P<0.05).Conclusion The teaching method with standardized patients and trauma simulators can improve training effects,which is worth promotion.